High-intensity focussed ultrasound and hysteroscopy endo-operative system cold device procedures for treating >4cm diameter FIGO Type 2 uterine myoma and ensuring successful pregnancy.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-08-01 DOI:10.1080/13625187.2023.2216329

Sha Liao, Xiaoli Wang, Na Fu, Yan Huang

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引用次数: 0

Abstract

Purpose: Laparotomic or hysteroscopic myomectomy, and high-intensity focussed ultrasound (HIFU), can be used in the treatment of Type 2 myomas with a > 50% intramural component. Hysteroscopic electroresection may damage the remaining endometrium and complete ablation of myomas may not be realised via HIFU treatment. We report and examine the results of 1 case of HIFU treatment, accompanied with the hysteroscopy endo-operative system (HEOS) cold device procedure.

Materials and methods: These were used for treating a > 4cm diameter Type 2 uterine myoma and ensuring successful pregnancy. HIFU treatment of uterine myomas can achieve point-by-point ablation of lesions as far as possible without damaging the endometrium. The HEOS cold device procedure was implemented 3 months after HIFU treatment.

Results: The patient got pregnant naturally in the third month after receiving treatment, with no complications during her pregnancy. The patient gave birth to a healthy male via full-term cesarean section.

Conclusions: HIFU treatment, accompanied with the HEOS cold device procedure, ensured complete myoma removal. It also preserved the integrity of the myometrium and prevented uterine perforation during surgery.

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高强度聚焦超声和宫腔镜术内系统冷装置治疗>4cm直径FIGO 2型子宫肌瘤，确保妊娠成功。

目的:腹腔镜或宫腔镜下子宫肌瘤切除术，高强度聚焦超声(HIFU)可用于治疗> 50%壁内成分的2型肌瘤。宫腔镜电切可能会损伤剩余的子宫内膜，通过HIFU治疗可能无法完全切除肌瘤。我们报告并检查了1例HIFU治疗的结果，并伴有宫腔镜手术内系统(HEOS)冷装置程序。材料和方法:用于治疗直径> 4cm的2型子宫肌瘤，确保妊娠成功。HIFU治疗子宫肌瘤可在不损伤子宫内膜的情况下，实现病灶逐点消融。HEOS冷装置程序在HIFU治疗后3个月实施。结果:患者于治疗后3个月自然怀孕，孕期无并发症发生。患者通过足月剖宫产生下一名健康男性。结论:HIFU治疗配合HEOS冷装置手术，确保了肌瘤的完全切除。它还保留了子宫肌层的完整性，并防止手术期间子宫穿孔。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.